Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC

NPI: 1962464016 · RICHMOND, VA 23226 · General Acute Care Hospital · NPI assigned 04/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$83.03M
Total Medicaid Paid
2,107,366
Total Claims
1,679,700
Beneficiaries
495
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
NPI Enumeration Date04/04/2006

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $3.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 195,073 $6.42M
2019 241,954 $8.33M
2020 218,128 $8.22M
2021 342,581 $11.65M
2022 361,538 $14.43M
2023 401,586 $17.29M
2024 346,506 $16.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 83,754 73,653 $14.23M
99284 Emergency department visit for the evaluation and management, high severity 56,498 48,915 $9.54M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 28,302 24,259 $4.92M
41899 Unlisted procedure, dentoalveolar structures 3,775 3,294 $4.59M
96361 Intravenous infusion, hydration; each additional hour 15,681 11,931 $4.21M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 6,897 5,929 $3.32M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 31,924 23,580 $2.71M
74177 Computed tomography, abdomen and pelvis; with contrast material 10,406 9,155 $2.43M
G0378 Hospital observation service, per hour 14,062 8,586 $2.09M
70450 Computed tomography, head or brain; without contrast material 11,872 10,308 $2.02M
99282 Emergency department visit for the evaluation and management, low to moderate severity 12,887 11,451 $1.95M
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,884 2,499 $1.47M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,532 3,855 $1.26M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,620 1,478 $1.11M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,710 1,585 $1.03M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22,551 7,075 $1.00M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 3,054 2,772 $986K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,467 1,285 $888K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,364 3,713 $784K
71275 Computed tomographic angiography, chest, with contrast material 3,077 2,722 $777K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,588 4,882 $694K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 10,932 6,544 $639K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,192 1,873 $632K
78815 Positron emission tomography (PET) for limited area imaging 827 715 $604K
95811 1,135 1,001 $580K
90791 Psychiatric diagnostic evaluation 3,724 3,184 $554K
80053 Comprehensive metabolic panel 102,047 86,363 $524K
97161 6,101 5,293 $505K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,245 4,733 $473K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 427 331 $452K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,573 2,344 $428K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,643 8,242 $416K
95806 750 709 $401K
70551 Magnetic resonance imaging, brain; without contrast material 1,930 1,722 $394K
95819 1,598 1,526 $392K
76700 Ultrasound, abdominal, real time with image documentation; complete 2,820 2,653 $382K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,926 4,147 $367K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 12,448 11,706 $338K
77067 Screening mammography, bilateral, including computer-aided detection 6,902 6,624 $321K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,488 5,835 $308K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 531 425 $283K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,910 2,605 $279K
71046 Radiologic examination, chest; 2 views 26,122 23,422 $279K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,780 1,638 $274K
70496 1,066 950 $270K
93971 2,663 2,326 $243K
84443 Thyroid stimulating hormone (TSH) 25,889 23,412 $240K
76642 2,313 1,918 $238K
80061 Lipid panel 38,669 34,952 $235K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,985 1,848 $229K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,273 1,852 $225K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 13,995 12,488 $222K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,099 991 $220K
43235 374 330 $216K
94010 3,574 3,374 $206K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,955 3,438 $200K
72141 1,134 1,032 $192K
76536 1,692 1,585 $191K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13,102 4,552 $187K
83036 Hemoglobin; glycosylated (A1C) 35,432 31,806 $186K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 89,987 73,714 $168K
74018 7,641 6,843 $148K
J2704 Injection, propofol, 10 mg 32,013 25,297 $148K
76819 Fetal biophysical profile; without non-stress testing 2,512 1,456 $148K
76830 Ultrasound, transvaginal 2,308 2,054 $147K
76770 1,198 1,087 $135K
36415 Collection of venous blood by venipuncture 136,358 107,461 $128K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,894 1,653 $124K
80048 Basic metabolic panel (calcium, ionized) 21,719 17,076 $117K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 9,841 8,881 $116K
86803 11,279 10,208 $114K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 4,371 1,660 $114K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 3,721 3,255 $113K
70491 548 485 $112K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 788 415 $111K
93798 1,086 184 $111K
42820 Tonsillectomy and adenoidectomy; younger than age 12 96 75 $109K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 36,493 30,305 $107K
95816 531 465 $106K
93970 892 785 $106K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room 61 61 $106K
74183 321 298 $104K
85027 25,995 22,516 $104K
97116 3,698 1,931 $98K
97162 669 613 $97K
71250 1,500 1,319 $96K
12011 430 400 $88K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,041 1,474 $84K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6,689 5,890 $84K
77072 1,486 1,431 $83K
80050 General health panel 7,808 6,991 $83K
84439 9,827 8,870 $81K
77063 Screening digital breast tomosynthesis, bilateral 3,232 3,120 $80K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 989 915 $78K
12001 393 369 $77K
72125 Computed tomography, cervical spine; without contrast material 2,132 1,851 $76K
97014 2,561 1,049 $73K
70498 1,231 1,098 $71K
77080 1,148 1,081 $71K
97165 1,637 1,333 $69K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 477 450 $68K
72100 3,800 3,428 $66K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,530 1,363 $63K
83880 5,532 4,596 $62K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 562 516 $62K
76801 1,960 1,752 $61K
88305 Level IV - Surgical pathology, gross and microscopic examination 13,115 10,662 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 421 374 $58K
95800 357 340 $56K
82607 5,750 5,085 $53K
97535 Self-care/home management training, each 15 minutes 2,330 1,588 $52K
97016 2,013 738 $51K
82728 5,638 5,032 $51K
74240 487 466 $50K
95714 146 98 $50K
G0379 Direct admission of patient for hospital observation care 326 268 $49K
97803 549 454 $49K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6,640 5,838 $48K
87086 Culture, bacterial; quantitative colony count, urine 17,026 14,805 $47K
58571 20 12 $47K
77065 Tomosynthesis, mammo 1,330 1,125 $46K
93017 773 639 $45K
47562 17 12 $44K
73562 4,182 3,135 $43K
73221 216 195 $41K
77066 Tomosynthesis, mammo 1,259 1,142 $41K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 10,745 10,124 $40K
99218 3,587 1,733 $40K
87040 5,788 3,320 $40K
70486 658 609 $39K
81001 46,201 39,885 $35K
76870 363 326 $33K
71271 335 314 $32K
83550 5,917 5,311 $32K
94060 428 409 $31K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 728 636 $31K
82570 7,725 6,977 $31K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 915 722 $30K
73030 2,509 2,179 $30K
73130 2,140 1,712 $28K
J2405 Injection, ondansetron hydrochloride, per 1 mg 35,904 25,573 $28K
86780 2,854 2,611 $28K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 353 317 $28K
84484 23,284 16,066 $27K
82962 24,385 9,829 $26K
95812 43 43 $26K
73630 2,827 2,364 $26K
72050 1,066 971 $25K
87340 4,447 4,010 $25K
J7030 Infusion, normal saline solution , 1000 cc 39,476 30,393 $25K
99385 176 168 $24K
83540 6,150 5,515 $24K
85379 5,181 4,578 $23K
93308 92 82 $23K
72131 320 299 $22K
84153 2,024 1,841 $22K
71045 Radiologic examination, chest; single view 12,393 10,521 $20K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 155 138 $20K
86850 6,571 5,777 $20K
74241 186 169 $20K
82043 7,211 6,608 $20K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 47 41 $19K
88307 1,571 1,165 $19K
86592 3,652 3,248 $19K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,494 1,305 $18K
82746 2,878 2,495 $17K
87522 Neg quan hep c or qual rna 718 622 $16K
J3490 Unclassified drugs 26,212 11,295 $16K
73502 1,529 1,348 $16K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 29,060 24,587 $16K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 1,539 1,369 $16K
80076 3,036 2,696 $15K
S9472 Cardiac rehabilitation program, non-physician provider, per diem 151 25 $15K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,361 4,110 $15K
84403 1,135 1,011 $15K
73610 2,609 2,304 $15K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,828 2,325 $14K
0042T 73 65 $14K
84702 4,154 3,395 $14K
J1885 Injection, ketorolac tromethamine, per 15 mg 27,101 21,370 $14K
90715 824 735 $13K
87070 11,847 10,390 $13K
76882 143 129 $13K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 560 455 $12K
83735 13,614 10,611 $12K
85610 8,680 6,919 $12K
93458 16 13 $12K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 543 495 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 431 357 $12K
10060 140 118 $11K
81025 24,268 20,866 $11K
86900 6,846 6,010 $11K
86038 1,418 1,235 $11K
76820 277 141 $11K
84402 758 674 $11K
86140 5,434 4,716 $11K
45384 17 14 $10K
86706 1,880 1,660 $10K
83001 819 745 $10K
70360 452 435 $10K
87077 6,067 5,025 $10K
84145 1,348 1,157 $10K
80074 631 563 $10K
76818 112 65 $10K
82784 1,356 1,173 $9K
90674 373 344 $9K
88304 2,058 1,772 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 253 204 $9K
90714 419 391 $9K
76885 78 69 $9K
87186 5,663 4,716 $9K
74019 2,629 2,405 $9K
86762 1,586 1,460 $9K
86376 676 612 $9K
84146 673 608 $8K
86704 1,150 1,014 $8K
76937 581 478 $8K
G0400 Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels 89 83 $8K
85652 5,304 4,682 $8K
82107 340 296 $8K
90661 275 268 $8K
83690 18,655 15,849 $8K
J2370 Injection, phenylephrine hcl, up to 1 ml 4,666 3,115 $8K
83020 1,072 985 $8K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18,352 8,517 $8K
83002 739 671 $7K
87081 1,176 1,091 $7K
86901 6,842 6,008 $7K
86787 1,458 1,317 $7K
83605 4,660 3,524 $7K
72197 27 25 $6K
96375 Therapeutic injection; each additional sequential IV push 18,629 14,548 $6K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 948 761 $6K
83721 967 867 $6K
87150 255 239 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,936 8,822 $6K
82950 1,640 1,541 $6K
83520 591 536 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,049 1,835 $6K
73110 892 809 $6K
74230 72 66 $6K
83516 529 448 $6K
82550 3,983 3,146 $6K
86480 477 419 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 20,431 17,199 $6K
80179 1,930 1,713 $6K
72072 402 366 $6K
70310 2,697 2,404 $6K
70544 15 15 $5K
80143 1,953 1,745 $5K
84703 3,153 2,829 $5K
64415 26 17 $5K
88342 2,406 1,879 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 15,237 11,268 $5K
73590 774 657 $5K
87506 148 131 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 20,932 17,391 $5K
G0008 Administration of influenza virus vaccine 1,168 1,019 $5K
80047 1,079 892 $5K
99152 2,082 1,661 $5K
85018 2,908 2,152 $5K
84480 590 529 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14,071 9,681 $5K
87147 2,955 2,429 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 22,319 14,104 $4K
J0690 Injection, cefazolin sodium, 500 mg 10,726 6,662 $4K
84550 1,637 1,417 $4K
J7120 Ringers lactate infusion, up to 1000 cc 21,616 15,960 $4K
86200 513 456 $4K
81003 3,270 2,878 $4K
86235 107 86 $4K
99153 Mod sedat endo service >5yrs 1,250 1,002 $4K
77061 162 156 $4K
73140 776 706 $4K
84436 535 451 $3K
85730 3,225 2,681 $3K
77062 175 169 $3K
86696 382 325 $3K
86431 670 597 $3K
J1200 Injection, diphenhydramine hcl, up to 50 mg 4,967 4,029 $3K
96367 156 115 $3K
82172 313 266 $3K
90686 383 301 $3K
86141 365 322 $3K
96376 8,685 4,371 $3K
92611 58 54 $3K
86800 314 278 $3K
J1815 Injection, insulin, per 5 units 1,458 452 $2K
95886 29 29 $2K
83970 91 81 $2K
97802 130 116 $2K
J1650 Injection, enoxaparin sodium, 10 mg 3,937 1,685 $2K
C1776 Joint device (implantable) 113 83 $2K
83021 124 118 $2K
86695 286 244 $2K
82670 168 147 $2K
88341 319 211 $2K
82553 476 331 $2K
84100 3,178 2,244 $2K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 626 452 $2K
J1170 Injection, hydromorphone, up to 4 mg 9,057 5,183 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 5,079 3,762 $2K
87521 Neg quan hep c or qual rna 89 73 $2K
82803 1,981 1,534 $2K
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 28 22 $2K
82247 498 304 $2K
73080 479 434 $2K
82077 3,354 2,899 $2K
J1644 Injection, heparin sodium, per 1000 units 4,853 2,042 $2K
72040 167 159 $2K
86003 78 69 $2K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 51 21 $2K
0100U 80 64 $2K
84156 905 749 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 72 58 $2K
86364 502 447 $2K
C1889 Implantable/insertable device, not otherwise classified 79 65 $2K
80069 320 251 $2K
82465 345 333 $1K
90694 130 110 $1K
87210 3,605 2,867 $1K
80164 240 213 $1K
87205 1,934 1,565 $1K
87634 711 678 $1K
82951 121 111 $1K
93291 48 40 $1K
73700 13 12 $1K
83615 596 502 $1K
J8540 Dexamethasone, oral, 0.25 mg 297 236 $1K
84425 172 155 $1K
81002 536 484 $1K
95012 30 27 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,541 1,207 $1K
85014 648 475 $1K
84165 166 147 $1K
80177 208 181 $983.94
76942 22 17 $965.11
87088 397 373 $951.98
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29 27 $886.24
83655 76 72 $874.25
94762 327 255 $856.26
73560 48 42 $835.11
C1769 Guide wire 2,451 1,921 $823.10
J7050 Infusion, normal saline solution, 250 cc 5,290 3,590 $808.31
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 17 16 $796.50
51798 53 39 $788.11
93225 17 14 $784.22
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,238 938 $745.38
10061 16 14 $742.95
93296 181 127 $741.46
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 599 509 $713.49
82150 136 130 $693.72
87807 2,396 2,266 $680.93
0099U 54 49 $677.83
86334 67 61 $662.06
90653 147 115 $661.59
J0330 Injection, succinylcholine chloride, up to 20 mg 5,310 4,271 $650.26
86225 108 90 $633.72
36416 688 550 $627.83
36600 96 78 $562.40
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 4,292 3,278 $542.04
J2270 Injection, morphine sulfate, up to 10 mg 5,452 3,826 $524.59
73090 320 287 $512.20
84132 744 666 $502.11
82627 29 26 $502.06
82105 32 31 $483.58
J0780 Injection, prochlorperazine, up to 10 mg 3,164 2,517 $483.34
J3480 Injection, potassium chloride, per 2 meq 3,528 1,972 $481.55
86708 87 69 $463.97
85660 134 125 $436.75
82140 109 87 $420.42
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,674 2,866 $383.47
82330 437 391 $379.46
97760 15 12 $378.16
82952 121 111 $363.48
82565 255 210 $330.17
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,315 1,000 $303.78
83498 15 15 $297.16
86231 102 98 $282.48
86258 78 60 $281.65
85045 170 152 $275.91
83695 28 28 $275.00
82977 56 53 $258.46
J2060 Injection, lorazepam, 2 mg 1,414 936 $233.17
87486 17 16 $230.52
82248 140 107 $227.02
84481 42 39 $219.80
G0444 Annual depression screening, 5 to 15 minutes 78 42 $218.88
84681 17 15 $217.76
85007 953 847 $212.33
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,098 2,461 $211.73
C9113 Injection, pantoprazole sodium, per vial 2,592 1,241 $193.20
93797 58 25 $167.88
82947 338 303 $164.61
82785 12 12 $163.63
86015 29 25 $159.18
J0561 Injection, penicillin g benzathine, 100,000 units 16 15 $156.24
86677 13 13 $153.00
86308 216 194 $135.75
J3475 Injection, magnesium sulfate, per 500 mg 833 670 $134.87
83521 12 12 $124.63
73620 17 12 $123.51
86665 15 14 $118.99
82272 628 545 $118.69
86735 19 15 $118.54
87581 17 16 $115.31
99497 46 40 $113.28
A9576 Injection, gadoteridol, (prohance multipack), per ml 1,515 1,373 $113.08
51701 475 398 $111.41
J0500 Injection, dicyclomine hcl, up to 20 mg 185 162 $109.98
83718 12 12 $90.47
82390 14 13 $78.66
86765 19 15 $78.54
J2175 Injection, meperidine hydrochloride, per 100 mg 781 627 $73.83
71101 13 12 $72.27
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 409 400 $66.32
74022 53 49 $64.25
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 727 523 $60.48
73660 29 29 $59.59
73552 32 27 $48.17
88271 15 12 $44.12
J7510 Prednisolone oral, per 5 mg 281 229 $41.06
86664 15 14 $40.21
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,693 1,390 $36.10
94664 362 334 $33.67
84295 234 203 $30.45
J3370 Injection, vancomycin hcl, 500 mg 692 319 $30.29
90472 Immunization administration, each additional vaccine (list separately) 13 13 $28.55
87045 27 25 $26.88
87427 28 26 $26.83
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 719 630 $26.52
J2550 Injection, promethazine hcl, up to 50 mg 87 63 $21.18
J0360 Injection, hydralazine hcl, up to 20 mg 346 237 $19.93
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,357 1,119 $15.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,628 1,118 $15.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 799 238 $14.70
87899 28 26 $13.44
87046 27 25 $13.44
94760 1,964 1,327 $12.50
82657 480 229 $12.08
A9575 Injection, gadoterate meglumine, 0.1 ml 1,617 1,458 $7.90
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 54 50 $7.32
J3411 Injection, thiamine hcl, 100 mg 35 25 $4.36
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 81 41 $4.32
A4565 Slings 245 191 $3.83
J2919 Injection, methylprednisolone sodium succinate, 5 mg 146 94 $3.65
J1630 Injection, haloperidol, up to 5 mg 51 49 $3.45
J0461 Injection, atropine sulfate, 0.01 mg 14 13 $2.34
J8597 Antiemetic drug, oral, not otherwise specified 15 14 $2.34
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 15 12 $1.64
J0171 Injection, adrenalin, epinephrine, 0.1 mg 57 50 $1.34
J3360 Injection, diazepam, up to 5 mg 42 37 $0.54
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,877 1,749 $0.04
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 333 210 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 310 201 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 333 151 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 13 12 $0.00
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg 33 33 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 436 376 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 397 282 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 1,054 887 $0.00
J0694 Injection, cefoxitin sodium, 1 gm 117 88 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 126 105 $0.00
J1171 Injection, hydromorphone, 0.1 mg 164 111 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 23 23 $0.00
J1953 Injection, levetiracetam, 10 mg 58 38 $0.00
69210 12 12 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 76 52 $0.00
C1760 Closure device, vascular (implantable/insertable) 13 12 $0.00
76000 14 12 $0.00
96138 12 12 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 14 13 $0.00
A9585 Injection, gadobutrol, 0.1 ml 593 535 $0.00
A9609 Fludeoxyglucose f18 up to 15 millicuries 70 52 $0.00
J1836 Injection, metronidazole, 10 mg 234 130 $0.00
C9290 Injection, bupivacaine liposome, 1 mg 310 253 $0.00
A9270 Non-covered item or service 3,968 848 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,413 1,243 $0.00
J2785 Injection, regadenoson, 0.1 mg 339 279 $0.00
J1790 Injection, droperidol, up to 5 mg 123 104 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 199 120 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 112 110 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 35 24 $0.00
88300 87 75 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 15 13 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 198 147 $0.00
J1940 Injection, furosemide, up to 20 mg 18 12 $0.00
C1781 Mesh (implantable) 31 26 $0.00
94761 110 69 $0.00
C9399 Unclassified drugs or biologicals 77 59 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 175 169 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 21 13 $0.00
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 16 12 $0.00
70300 27 24 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 21 13 $0.00